龚*慧 双角子宫 融合后产子 2008-8-23Gongminghui double corner uterus fusion after the birth of children 2008-8-23

龚*慧，1979年出生在江西省武宁县新宁镇，98年婚检时发现双角子宫。2002-2004年间年3次在右侧子宫妊娠，均在4个月左右，晚期自然流产。Gongminghui, born in 1979 in Xinning Town, Wuning County, Jiangxi Province, discovered the double-horned uterus during the wedding examination in 1998. Between 2002 and 2004, three pregnancies were performed in the right uterus, all of which were about 4 months old and were spontaneous miscarriages.

2004-10-15在安太医院行宫腔镜检查发现于内口稍上方见2个宫腔，两侧宫腔深均为9cm，双侧输卵管开口于宫底，宫腔呈梭形，左侧宫腔内见一膜性粘连带，宽约1cm，宫颈管未见异常。腹腔镜下见子宫外形菱角状，在腹腔镜下用微波刀，在宫体冠状面作一深达宫腔切口，两侧距宫角约1.5cm，1-0可吸收线矢状分层间断缝合肌层，连续褥式缝合浆肌层。再次宫腔镜检两宫腔融合成一宫腔，宫腔用生物防粘处理后术毕。2004-10-15 A hysteroscopic examination at Antai Hospital found two cavities slightly above the inner mouth. Both sides of the cavities were 9cm deep. The bilateral fallopian tubes opened at the bottom of the palace. The cavities were fusiform, and the left cavities. See a membrane adhesion joint, width about 1cm, The cervical canal was not abnormal. Under the laparoscope, the shape of the uterus is rhomboid. Under the laparoscope, a microwave knife is used to make a deep cavity incision on the crown surface of the palace. The two sides are about 1.5 cm away from the palace angle, and 1-0 can absorb the sagittal stratification. Intermittent suture muscle layer, continuous mattress suture pulp muscle layer. Once again, the palace cavity is examined to fuse into a palace cavity, and the palace cavity is treated with biological anti-adhesion.

2005-04-19见子宫内膜厚，宫底部外突一1.5*1*1cm肌性组织，双侧输卵管开口外观正常，宫颈管正常。

2005-04-19 See the thickness of the endometrium, a 1.5 * 1 * 1 cm muscle tissue protruding from the bottom of the palace, the appearance of the bilateral tubal opening is normal, and the cervical tube is normal.

2007年7月自然分娩一个女婴。A baby girl was born naturally in July 2007.

2008年8月23日她邮来了锦旗和感谢信。On August 23, 2008, she sent a flag and a thank you note.

讨论：双角子宫是少见的子宫畸形，引起习惯性流产或不孕，治疗非常困难，一般需要开腹矫形，但是成功率极低，而且很少医院接收这样的病人。安太医院陈凤林医生根据不唯书的原则，设计出腹腔镜进行子宫融合术，经过40多例临床实践，取得了100%成功的骄人成绩。安太授予了这些本来无缘人做父母的权利。这正是：科技改变人生，创新没有极限。

Discussion: biangular uterus is a rare uterine malformation, causing habitual miscarriage or infertility, treatment is very difficult, generally need to open abdominal orthosis, but the success rate is extremely low, and very few hospitals receive such patients. According to the principle of non-book, Dr. Chenfenglin of Antai Hospital designed laparoscopic uterine Fusion. After more than 40 clinical practices, he achieved 100 % success. Anta gave these people the right to be parents. This is exactly what: technology changes lives, and innovation has no limits.